Provider Demographics
NPI:1548628308
Name:WEAVER-HALL, HEATH (CADC I, QMHA, CRSP)
Entity type:Individual
Prefix:MS
First Name:HEATH
Middle Name:
Last Name:WEAVER-HALL
Suffix:
Gender:F
Credentials:CADC I, QMHA, CRSP
Other - Prefix:MS
Other - First Name:HEATH
Other - Middle Name:
Other - Last Name:WEAVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:QMHA, CADC 1, CRSP
Mailing Address - Street 1:2145 CENTENNIAL PLAZA
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97401-6107
Mailing Address - Country:US
Mailing Address - Phone:541-485-6340
Mailing Address - Fax:541-984-3124
Practice Address - Street 1:2145 CENTENNIAL PLZ
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97401-2421
Practice Address - Country:US
Practice Address - Phone:541-485-6340
Practice Address - Fax:541-984-3124
Is Sole Proprietor?:No
Enumeration Date:2016-02-08
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)